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Safety, Tolerability, Pharmacokinetic Characteristics, and Efficacy of CM369 in Advanced Solid Tumors & Hematologic Malignancies

Primary Purpose

Advanced Solid Tumors and Hematologic Malignancies

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
CM369
Sponsored by
Beijing InnoCare Pharma Tech Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumors and Hematologic Malignancies

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Solid tumor Inclusion Criteria: Life expectancy ≥12 weeks. Eastern Cooperative Oncology Group performance status of 0-1. Subjects with cytology and/or histologically confirmed locally advanced unresectable or metastatic solid tumors. Agree to provide archived tumor tissue samples of primary or metastatic lesions. Phase Ia: have at least one measurable lesion or one evaluable lesion according to RECIST 1.1. Have adequate organ function as described in the protocol. Hematologic Malignancies Inclusion Criteria: Male and female subjects ≥18 years of age and ≤ 75 years of age. This study enroll subjects with recurrent/refractory hematological tumors. The subjects must have measurable lesions. Positive CCR8in tumor tissues of subjects. Eastern Cooperative Oncology Group performance status (ECOG) of ≤2, and had a Life expectancy of at least 3 months. Adequate hematological function, defined as protocol. Subjects with normal coagulation function, defined as protocol. Adequate hepatic, renal and cardiac functions, defined as protocol. Subjects voluntarily signed informed consent form (ICF) and written informed consent must be obtained prior to performing any study-related procedure. Women of childbearing potential (WOCBP) must have a negative serum pregnancy test within 7 days prior to receiving the first dose of study medication. WOCBP or male subjects and their female partners of childbearing potential must be willing to use an appropriate method of contraception during the study and for 6 months after the last dose, and must not donate eggs or sperms during this period. Female subjects were not allowed to breastfeed during the study and for at least 6 months after the last dose of study medication. Exclusion Criteria: Solid tumor Exclusion Criteria: Subjects with primary central nervous system (CNS) tumors or unstable CNS metastases. Subjects who have uncontrollable or major cardiovascular disease refer to protocol. Subjects who have an active autoimmune disease or have had an autoimmune disease with risk of recurrence. Subjects who have active or history of interstitial lung disease or non-infectious pneumonia. Subjects with any active infection requiring systemic treatment by intravenous infusion within 14 days prior to the first administration of the study drug. HIV infection; Hepatitis C virus (HCV) antibody positive; HCV infection. History of active bleeding within 2 months before screening, or bleeding symptoms associated with application of anticoagulant drugs or other interventions. Have not recovered to CTCAE Grade 1 or better from the adverse events due to previous cancer therapies. Subjects who received systemic immunosuppressive drugs within 14 days prior to the first administration of the study drug. Subjects who require systemic treatment of corticosteroids or other immunosuppressive agents within 14 days prior to first dose. Has a history of severe allergic reactions to monoclonal antibodies. Subjects with any mental or cognitive impairment that may limit their understanding, implementation. Hematologic Malignancies Exclusion Criteria: Previous treatment with immune checkpoint inhibitors Autologous hematopoietic stem cell transplantation within 100 days prior to first investigational medications dose, or history of allogeneic hematopoietic stem cell transplantation. Subjects currently suffering from acute graft-versus-host disease (GVHD) or active chronic GVHD. Have had any therapy directed against the subject's underlying cancer within 28 days prior to first investigational medications dose. Received other clinical trial drugs within 28 days prior to first investigational medications dose. Subjects who experienced major organ surgery (except for needle biopsy) or significant trauma within 28 days prior to first investigational medications administration, or who need selected surgical procedures during the study. Subjects who have been vaccinated with live attenuated vaccine within 28 days prior to first investigational medications administration. Clinical evidence of central nervous system (CNS) metastasis will be excluded. Previous or concomitant with CNS diseases. History of another primary malignancy not in remission for at least 2 years. Any severe active infection requiring systemic antimicrobial therapy. Active hepatitis B or C virus infection. History of immunodeficiency, including human immunodeficiency virus (HIV) antibody positive or known syphilis infection. History of severe cardiovascular and cerebrovascular diseases. Subjects who currently or have suffered from severe interstitial lung disease. The toxicity of previous anti-tumor therapy is still ≥ grade 2 at enrollment. History of severe bleeding disorders,. Known alcohol or drug dependence. Subjects with mental disorders or poor compliance. Pregnant or lactating female subjects. Any other condition that, in the opinion of the investigator or project clinician, would interfere with a subject's ability to receive or complete the study.

Sites / Locations

  • Sun Yat-Sen University Cancer CenterRecruiting
  • Jilin Cancer Hospital
  • West China Hospital of Sichuan University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

CM369 Ia Dose Escalation

CM369 Ib Dose Expansion

Arm Description

Dose escalation of CM369 as monotherapy

Dose expansion of CM369 as monotherapy

Outcomes

Primary Outcome Measures

Adverse events (AEs)
Serious Adverse events (SAEs)
Dose limiting toxicities (DLTs)

Secondary Outcome Measures

PK parameter: Peak Time (Tmax)
PK parameter: Half-life (t1/2)
PK parameter: Area Under the Curve (AUC)
PK parameters: Clearance (CL)
PK parameter: Apparent volume of distribution of steady state (Vss)
Immunogenicity: Incidence of anti-CM369 antibody

Full Information

First Posted
January 10, 2023
Last Updated
October 8, 2023
Sponsor
Beijing InnoCare Pharma Tech Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05690581
Brief Title
Safety, Tolerability, Pharmacokinetic Characteristics, and Efficacy of CM369 in Advanced Solid Tumors & Hematologic Malignancies
Official Title
A Nonrandomized, Open-label, Multicenter, Phase I Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetic Characteristics, and Efficacy of CM369 in Subjects With Advanced Solid Tumors and Hematologic Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 23, 2023 (Actual)
Primary Completion Date
June 30, 2024 (Anticipated)
Study Completion Date
April 30, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Beijing InnoCare Pharma Tech Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a nonrandomized, open-label, multicenter, phase I clinical trial to evaluate the safety, tolerability, pharmacokinetic characteristics, and efficacy of CM369 in subjects with advanced solid tumors and Hematologic Malignancies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumors and Hematologic Malignancies

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
146 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
CM369 Ia Dose Escalation
Arm Type
Experimental
Arm Description
Dose escalation of CM369 as monotherapy
Arm Title
CM369 Ib Dose Expansion
Arm Type
Experimental
Arm Description
Dose expansion of CM369 as monotherapy
Intervention Type
Drug
Intervention Name(s)
CM369
Intervention Description
Specified dose on specified days.
Primary Outcome Measure Information:
Title
Adverse events (AEs)
Time Frame
90 weeks
Title
Serious Adverse events (SAEs)
Time Frame
90 weeks
Title
Dose limiting toxicities (DLTs)
Time Frame
90 weeks
Secondary Outcome Measure Information:
Title
PK parameter: Peak Time (Tmax)
Time Frame
90 weeks
Title
PK parameter: Half-life (t1/2)
Time Frame
90 weeks
Title
PK parameter: Area Under the Curve (AUC)
Time Frame
90 weeks
Title
PK parameters: Clearance (CL)
Time Frame
90 weeks
Title
PK parameter: Apparent volume of distribution of steady state (Vss)
Time Frame
90 weeks
Title
Immunogenicity: Incidence of anti-CM369 antibody
Time Frame
90 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Solid tumor Inclusion Criteria: Life expectancy ≥12 weeks. Eastern Cooperative Oncology Group performance status of 0-1. Subjects with cytology and/or histologically confirmed locally advanced unresectable or metastatic solid tumors. Agree to provide archived tumor tissue samples of primary or metastatic lesions. Phase Ia: have at least one measurable lesion or one evaluable lesion according to RECIST 1.1. Have adequate organ function as described in the protocol. Hematologic Malignancies Inclusion Criteria: Male and female subjects ≥18 years of age and ≤ 75 years of age. This study enroll subjects with recurrent/refractory hematological tumors. The subjects must have measurable lesions. Positive CCR8in tumor tissues of subjects. Eastern Cooperative Oncology Group performance status (ECOG) of ≤2, and had a Life expectancy of at least 3 months. Adequate hematological function, defined as protocol. Subjects with normal coagulation function, defined as protocol. Adequate hepatic, renal and cardiac functions, defined as protocol. Subjects voluntarily signed informed consent form (ICF) and written informed consent must be obtained prior to performing any study-related procedure. Women of childbearing potential (WOCBP) must have a negative serum pregnancy test within 7 days prior to receiving the first dose of study medication. WOCBP or male subjects and their female partners of childbearing potential must be willing to use an appropriate method of contraception during the study and for 6 months after the last dose, and must not donate eggs or sperms during this period. Female subjects were not allowed to breastfeed during the study and for at least 6 months after the last dose of study medication. Exclusion Criteria: Solid tumor Exclusion Criteria: Subjects with primary central nervous system (CNS) tumors or unstable CNS metastases. Subjects who have uncontrollable or major cardiovascular disease refer to protocol. Subjects who have an active autoimmune disease or have had an autoimmune disease with risk of recurrence. Subjects who have active or history of interstitial lung disease or non-infectious pneumonia. Subjects with any active infection requiring systemic treatment by intravenous infusion within 14 days prior to the first administration of the study drug. HIV infection; Hepatitis C virus (HCV) antibody positive; HCV infection. History of active bleeding within 2 months before screening, or bleeding symptoms associated with application of anticoagulant drugs or other interventions. Have not recovered to CTCAE Grade 1 or better from the adverse events due to previous cancer therapies. Subjects who received systemic immunosuppressive drugs within 14 days prior to the first administration of the study drug. Subjects who require systemic treatment of corticosteroids or other immunosuppressive agents within 14 days prior to first dose. Has a history of severe allergic reactions to monoclonal antibodies. Subjects with any mental or cognitive impairment that may limit their understanding, implementation. Hematologic Malignancies Exclusion Criteria: Previous treatment with immune checkpoint inhibitors Autologous hematopoietic stem cell transplantation within 100 days prior to first investigational medications dose, or history of allogeneic hematopoietic stem cell transplantation. Subjects currently suffering from acute graft-versus-host disease (GVHD) or active chronic GVHD. Have had any therapy directed against the subject's underlying cancer within 28 days prior to first investigational medications dose. Received other clinical trial drugs within 28 days prior to first investigational medications dose. Subjects who experienced major organ surgery (except for needle biopsy) or significant trauma within 28 days prior to first investigational medications administration, or who need selected surgical procedures during the study. Subjects who have been vaccinated with live attenuated vaccine within 28 days prior to first investigational medications administration. Clinical evidence of central nervous system (CNS) metastasis will be excluded. Previous or concomitant with CNS diseases. History of another primary malignancy not in remission for at least 2 years. Any severe active infection requiring systemic antimicrobial therapy. Active hepatitis B or C virus infection. History of immunodeficiency, including human immunodeficiency virus (HIV) antibody positive or known syphilis infection. History of severe cardiovascular and cerebrovascular diseases. Subjects who currently or have suffered from severe interstitial lung disease. The toxicity of previous anti-tumor therapy is still ≥ grade 2 at enrollment. History of severe bleeding disorders,. Known alcohol or drug dependence. Subjects with mental disorders or poor compliance. Pregnant or lactating female subjects. Any other condition that, in the opinion of the investigator or project clinician, would interfere with a subject's ability to receive or complete the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ruihua Xu
Phone
13922296676
Email
xurh@sysucc.org.cn
Facility Information:
Facility Name
Sun Yat-Sen University Cancer Center
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510060
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ruihua Xu
Facility Name
Jilin Cancer Hospital
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130000
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ying Cheng
Phone
0431-80596315
Email
JL.Cheng@163.com
Facility Name
West China Hospital of Sichuan University
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610041
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Liqun Zou
First Name & Middle Initial & Last Name & Degree
Lin Wang

12. IPD Sharing Statement

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Safety, Tolerability, Pharmacokinetic Characteristics, and Efficacy of CM369 in Advanced Solid Tumors & Hematologic Malignancies

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